DOCSLIB.ORG

Anti-Fraud Initiatives Report (FY 2014)

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Anti-Fraud Initiatives Report (FY 2014) Enclosure – Page 1 – The Honorable Sam Johnson Social Security Administration’s Anti-Fraud Activities For Fiscal Year 2014 Overview Few government agencies touch the lives of as many people as we do. We administer the Old- Age, Survivors, and Disability Insurance programs (Title II), providing retirement, survivors, and disability benefits to qualified workers and their families. We also administer the Supplemental Security Income (Title XVI) program designed to provide a monthly payment to aged, blind, or disabled people with limited income and resources. In fiscal year (FY) 2014, we paid a combined total of about $894 billion in Title II and Title XVI benefits. On average each month, nearly 64 million individuals received Title II or Title XVI benefits. Regrettably, there will always be people who try to steal. Fraudsters will tirelessly work to develop new and innovative ways to steal money from the American people. It is our duty as stewards of our trust funds to work aggressively to prevent and detect fraud and to recover the money stolen from the American people. Our message to fraudsters and potential fraudsters remains unchanged — we will find you; we will prosecute you; we will seek the maximum punishment allowable under the law; and we will fight to restore the money you have stolen to the American people. To more efficiently and effectively detect, deter, and mitigate fraud, waste, and abuse of our programs, we are establishing the Office of Anti-Fraud Program Management to provide centralized oversight of and accountability for our anti-fraud activities. This office will drive our anti-fraud efforts by sponsoring new initiatives, supporting component anti-fraud efforts, centralizing anti-fraud predictive analytics capabilities, ensuring vigilance in preventing and detecting fraud, and supporting the Inspector General’s efforts to investigate fraud. The Office of Anti-Fraud Program Management will be critical in helping us implement an anti-fraud framework that supports a comprehensive approach to fraud prevention and aligns anti-fraud efforts with industry standards. This report highlights our major anti-fraud initiatives for FY 2014. It is intended to supplement previous Congressional updates to the Committee on Ways and Means Subcommittee on Social Security (Subcommittee) and expand on previously unreported anti-fraud initiatives.1 This report also includes information requested by the Subcommittee Staff on September 23, 2014, including the metrics we will use to measure whether we are meeting our anti-fraud initiative objectives and the timetable for each objective. Our Acting Commissioner established our anti-fraud initiative as a top priority and is tracking all of the implementation milestones. 1 Acting Commissioner Colvin to the Honorable Sam Johnson, Chairman of the Subcommittee - February 14, 2014 Acting Commissioner Colvin to Chairman Johnson - March 27, 2014 Tom Parrott, Acting Deputy Commissioner for Legislation and Congressional Affairs, to Kim Hildred, Majority Staff Director for the Subcommittee - September 5, 2014 Enclosure – Page 2 – The Honorable Sam Johnson Within this report, we provide metrics for each anti-fraud initiative, where applicable. We require our anti-fraud initiative leads to provide updates on a monthly basis. We realize combatting fraud is a dynamic and evolving process, and we have made significant progress since our initial report on February 14, 2014. Highlights of our efforts discussed in this report include: • Implementing the Baltimore Cooperative Disability Investigations Unit on September 22, 2014; • Completing the second phase of the data analytics project in September 2014; • Implementing the New York, San Francisco, and Kansas City Fraud Prevention Units; • Conducting a National Anti-Fraud Conference on September 18, 2014; • Barring 117 representative payee applicants as part of our Representative Payee Criminal Bar Pilot; • Imposing $21.2 million in civil monetary penalties under Section 1129 of the Social Security Act and successfully resolving 391 cases in FY 2014; and • Blocking 16 problematic routing transit numbers and recovering $2 million in fraudulently redirected benefit payments and monies. Update on Initiatives Last Reported September 5, 2014 As discussed, we have provided the Subcommittee with regular updates on the following anti-fraud initiatives throughout FY 2014: 1. Increase Continuing Disability Reviews; 2. Expand Cooperative Disability Investigations Units; 3. Anti-Fraud Training; 4. Data Analytics; 5. Fraud Prevention Units; 6. National Anti-Fraud Committee; 7. Submission of Evidence Regulation; 8. Fraud Prosecution Project; 9. Representative Payee Criminal Bar; 10. Symptom Evaluation Research Effort; and 11. Psychological Testing Research Effort. This section provides an update on these initiatives. For each initiative, we provide the: • Responsible component(s); • Lead Individual(s) • Background/objective; • Update/timetable; and • Metrics to measure. Enclosure – Page 3 – The Honorable Sam Johnson 1. Increase Continuing Disability Reviews (CDR) Responsible Component: Deputy Commissioner for Operations (DCO) Lead Individual: Ray Wise, DCO Background/Objective: With the recent appropriations act, Congress provided us with funding to significantly increase the number of CDRs that we conduct. While the primary purpose of a CDR is to determine whether a beneficiary is no longer entitled to benefits because his or her condition has medically improved, our ability to perform significantly more CDRs may allow us to detect increased numbers of potentially fraudulent or suspicious activities. Update/Timetable: As of September 30, 2014, we completed 525,875 medical CDRs, exceeding the budgeted goal of 510,000. On September 23, the Subcommittee requested the breakdown between mailer CDRs and full medical CDRs by program (Title II or Title XVI) and by medical diary type for FY 2014 and FY 2015. Please see the worksheet in Appendix A. There are five tabs in the Appendix A worksheet with the following information: 1. CDR counts through September 2014 by cohort for mailers and full medical review, and by cohort; 2. The same counts through August 2014 for CDRs that had medical improvement expected diaries; 3. The same counts through August 2014 for CDRs that had medical improvement possible diaries; 4. The same counts through August 2014 for CDRs that had medical improvement not expected diaries; and 5. The estimated CDR counts by cohort for mailers and full medical reviews for FY 2015. At this time, we are unable to determine the breakout by diary type for the FY 2015 estimate. We estimate that it would be similar to the counts for FY 2014. Metrics to Measure: Number of medical CDRs processed and if we meet our processed goal. 2. Expand Cooperative Disability Investigations (CDI) Units Responsible Components: DCO and Office of the Inspector General (OIG) Lead Individuals: Marguerite Hager, DCO, and Heather Herman, OIG Background/Objective: Working with our OIG, we plan to expand the number of CDI units. According to OIG, CDI units have contributed to agency savings of more than $960 million over the last three fiscal years. We provide most of the funding for these units, and in collaboration with OIG, we expanded the CDI program by seven additional units beginning in FY 2014. We anticipate these 7 units will be fully operational in FY 2015, increasing the total number of units from 25 to 32 nationwide. Enclosure – Page 4 – The Honorable Sam Johnson Update/Timetable: The planned expansion of the CDI Program is on track. Additional CDI Staffing As of September 30, 14 of the 24 additional investigators that we identified as part of the planned CDI expansion efforts are on board and working in their assigned CDI unit. New CDI Units The Detroit CDI unit became operational on August 15, and the Baltimore CDI unit became operational on September 22. We are planning and preparing to implement five additional units in FY 2015. Metrics to Measure: The number of new CDI units implemented in FY 2015, with five additional units as the goal. Agency savings because of the CDI units. 3. Anti-Fraud Training Responsible Components: Deputy Commissioner for Human Resources (DCHR) and Deputy Commissioner for Budget, Finance, Quality, and Management (DCBFQM) Lead Individuals: Lydia Marshall, DCHR, and Kara Jabers, DCBFQM Background/Objective: We expanded anti-fraud training to all Social Security Administration (SSA) employees during FY 2014, with specific focus on lessons learned from Puerto Rico and New York City. SSA and state disability determination services (DDS) front-line employees remain our best line of defense against those seeking to cheat the system. Update/Timetable: On September 23, the Subcommittee requested the following information: • The component(s) responsible for the training; • The date, audience, trainers, and content outline for each training session; • The dates when the video on demand (VOD) of the training will be available, and whether employees are required to review the video; and • A detailed description of our training plans for FY 2015. The following update addresses this request. Mandatory Interactive Video Teletraining (IVT /VOD Training Our Office of Learning (OL), in collaboration with OIG and representatives from DCO, developed a mandatory national anti-fraud IVT/VOD training program for SSA and DDS employees. The IVT broadcast aired on September 17, and the VOD was available as of September 22. The anti-fraud training video consists of
Load more

Recommended publications
  • The VAB Voice HOUSE MAJORITY OPPOSES PERFORMANCE TAX
    THE VERMONT ASSOCIATION OF BROADCASTERS 500A DALTON DRIVE COLCHESTER, VT 05446 (802) 655-5764 [email protected] The VAB Voice HOUSE MAJORITY OPPOSES PERFORMANCE TAX Four additional House members have voiced oppo- The VAB VOICE July, 2008 sition to the recording in- dustry-backed effort to levy a "new performance fee, tax, royalty or other Plenty of DTV Questions at Senior Center Meetings charge" on local radio sta- tions for music airplay. The now. For instance, WCAX jority of sets sold in the past Congressional opposition to two years have come the label-led campaign now offers a separate digital chan- stands at 219, representing nel that offers weather equipped with digital tun- a majority of the 435- around the clock, as well as a ers. There should be an indication on the set itself member U.S. House. South Strafford, VT --- If the 10 P.M. newscast. VAB Ex- that is it is digital ready. questions raised at two re- ecutive Director Jim Condon NAB Executive VP Dennis explained the new digital That question led to a dis- Wharton says, "We will cent DTV information meet- channels will show up on the cussion of HDTV. The sen- continue to educate policy- ings at Vermont senior citi- iors were reminded they do makers on the devastating zen centers are any indica- satellite and cable systems before the switch takes place not need an HDTV set to impact this RIAA tax would tion, many Vermont resi- receive digital televi- have on America 's home- dents still have a lot of ques- next February.
    [Show full text]
  • Spring Commencement of the One Hundred and Twenty Eighth Year
    Spring Commencement of the One Hundred and Twenty Eighth Year Saturday, the Thirtieth of April Two Thousand Eleven 10:30 a.m. Christ United M ethodist Church Jackson, M ississippi “Our Standard Is Christ” 2010-2011 Verse of the Year “Be strong and courageous!… The Lord your God will go ahead of you.” Deuteronomy 31:6 BELHAVEN UNIVERSITY M ISSION STATEM ENT Belhaven University prepares students academically and spiritually to serve Christ Jesus in their careers, in human relationships, and in the world of ideas. Belhaven University affirms the Lordship of Christ over all aspects of life, acknowledges the Bible as the foundational authority for the development of a personal worldview, and recognizes each individual's career as a calling from God. Each academic department is committed to high academic goals for its students and clarifies the implications of biblical truth for its discipline. Belhaven upholds these commitments in offering undergraduate or graduate programs, by conventional or technological delivery modes, and in local, national, and international venues. The University requires a liberal arts foundation in each undergraduate degree program, in order to best prepare students to contribute to a diverse, complex, and fast-changing world. By developing servant leaders who value integrity, compassion, and justice in all aspects of their lives, the University prepares people to serve, not to be served. FACULTY ACADEM IC APPAREL Academic regalia lend dignity and pageantry to University ceremonial occasions, and reveals academic achievements through styles of gowns, hoods, and varying colors. The custom of distinctive dress for academic ceremonies dates to the Middle-Ages.
    [Show full text]
  • 418 to Approach Issues. Simply Stated, I Knew Him As An
    418 to approach issues. Simply stated, I knew him as an intellectually gifted, analytical lawyer, a synthesizer of problems, empathetic, not a populist but a rationalist, one who is moderate in tone and ex- pression. I especially recall forming an early impression that here was someone with impeccable integrity and honesty, who possessed a wry sense of humor which would flash at unexpected points during conversation. In 1976, I began serving in the Virginia General Assembly, and Judge Souter was appointed attorney general of New Hampshire. In 1981, I was elected attorney general of Virginia, and Judge Souter was then serving as a member of the Superior Court in New Hampshire. In 1985, I was elected Governor of Virginia, and Judge Souter was serving on the supreme court of his native State. Today, I am partner in charge of international trade at the law firm of Hunton and Williams. You may recall that this is the same firm from which Justice Powell came, and I am struck by the simi- larities in the personal qualities of these two men. My contact with Judge Souter understandably has not been as frequent in recent years, but I have no reason to change my im- pressions or qualify my friendship. Senator Rudman has kept me apprised of Judge Souter's progress in New Hampshire, and the judge and I have exchanged an occasional note or call. I count him as a friend and believe that he will serve with distinction as a member of the U.S. Supreme Court, and I urge his confirmation.
    [Show full text]
  • Education, Interpretation and the Teaching of Black History at Colonial Williamsburg
    W&M ScholarWorks Dissertations, Theses, and Masters Projects Theses, Dissertations, & Master Projects 1989 Presenting the past: Education, interpretation and the teaching of black history at Colonial Williamsburg Rex Marshall Ellis College of William & Mary - School of Education Follow this and additional works at: https://scholarworks.wm.edu/etd Part of the African History Commons, American Studies Commons, Higher Education Commons, and the Other Education Commons Recommended Citation Ellis, Rex Marshall, "Presenting the past: Education, interpretation and the teaching of black history at Colonial Williamsburg" (1989). Dissertations, Theses, and Masters Projects. Paper 1539618660. https://dx.doi.org/doi:10.25774/w4-f656-sj28 This Dissertation is brought to you for free and open access by the Theses, Dissertations, & Master Projects at W&M ScholarWorks. It has been accepted for inclusion in Dissertations, Theses, and Masters Projects by an authorized administrator of W&M ScholarWorks. For more information, please contact [email protected]. INFORMATION TO USERS The most advancedtechnology has been used to photo­ graph and reproduce this manuscript from the microfilm master. UMI films the text directly from the original or copy submitted. Thus, some thesis and dissertation copies are in typewriter face, while others may be from any type of computer printer. The quality of this reproduction is dependent upon the quality of the copy submitted. Broken or indistinct print, colored or poor quality illustrations and photographs, print bleedthrough, substandard margins, and improper alignment can adversely affect reproduction. In the unlikely event that the author did not send UMI a complete manuscript and there are missing pages, these will be noted.
    [Show full text]
  • Washkansky Succumbs
    ACA Loses First Round on Taxes \ SEE STORY BELOW Weather HOME Fair today then clouding up to- night with periods of rain likely tomorrow. High today 50-55, low THEVMLY VJPPTQTFTf tonight In mid 40i, high tomor- FINAL row In 50s. Saturday's outlook, mostly cloudy and colder. V MONMOUTH COUNTY'S HOME NEWSPAPER FOR 89 YEARS DIAL 741-0010 VOL. 90, NO. 125 , RED BANK, N. J., THURSDAY, DECEMBER 21, 1967 10c PER COPY PAGE ONE Keansburg's Clerk Lung Infection, Not Heart, Called Death Cause Contends Petitions Washkansky Succumbs CAPE TOWN, South Africa failing organ in the historic op- The surgical team headed by|Suspected pneumonia, then fighting for his life but there Is (AP) - A post mortem today eration. Prof. Christian N. Barnard hadj thought perhaps the rejection ten- very little hope." 'Fatally Defective' watched closely for two expectedjdency was working—not against A respirator was used in ef- showed that Louis Washkansky "After the operation there was KEANSBURG — Although relative calm between the hours of 9 a.m.~4 p.m.," Mr. died of a severe localized infec at least part of my daughter still dangers—the body's tendency to the grafted heart but against forts to assist his breathing. prevailed at the Borough Council meeting Marion advised in his letter. tion of the lungs, and his trans- alive in Mr. Washkansky. But now reject foreign tissue and, because Washkansky's own tissues. Shortly after Washkansky died, Not knowing exactly what they his 41-year-old wife, Ann, entered last night, the political bomb dropped after- SAVS rrs -COWARDLY' planted heart worked well until she is completely dead." of drugs to fight that tendency, the very end, his anesthetist re- the stripping away of many of the were up against made the treat- the hospital weeping.
    [Show full text]
  • Your Slip Is Showing Dedicated
    A COLLECTION OF RADIO AND TV'S f< MOST ..,'LAR.OUS COMPILEO ERMIT BONERS ~ SC~AFER ILLUSTRATED BV BOB DUNN YOUR SLIP IS SHOWING DEDICATED To the members of the Radio and Television industry who have spent anguished and painful COPYRIGHT 1953 moments) days) perhaps years reliving some of GRAYSON PUBLISHING CORP. these tortuous incidents. If nothing else) it is hoped that this book offers consolation and proof of the fact that they are not alone. Radio and TV producer. PRINTED IN THE UNITED STATES OF AMERICA AMERICAN BOOK-STRATFORD PRESS, INC., NEW YORK CONTENTS RADIO AND TELEVISION "To err is human, to forgive divine." BONERS -Alexander Pope FLUFFS SPOO;NERISMS FLUBS BLOOPERS SLIPS I RADIO AND TELEVISION STATIONS COAST TO COAST BILL STERN DON RUSSELL The author wishes to express his sincere thanks BILL SILBERT FAYE EMERSON to the following for making the compiling of COL. STOOP NAGLE JOHN REED KING this book possible. BETTY FURNESS EARL WILSON DAVE GARROWAY HAL BLOCK MARGARET ARLEN BILL CULLEN WALTER RAINEY BILL GOODWIN BOB DENTON TED BROWN ROBERT MERRILL JOHNNY OLSEN FELIX KNIGHT BLONDIE & DAGWOOD MOLLY GOLDBERG WARREN HULL DIZZY DEAN ERNIE KOVACS BOB KENNEDY ANDRE BARUCH BENNETT CERF JOHN CAMERON JOE BOLTON YOGI BERRA ARTHUR GODFREY SWAYZE HAM FISHER HARRY VON ZELL BING CROSBY MILTON BERLE TED STEELE BILL LEONARD BEN GRAUER MEL ALLEN MOREY AMSTERDAM BUD COLLYER GUY LEBOW CLEM MCCARTHY JACK STERLING KATHI NORRIS UNCLE DON KEN ROBERTS ROBIN CHANDLER PHIL BAKER HARRY SALTER ERSKINE JOHNSTON HARRY BALOGH ROBERT Q. LEWIS Hy GARDNER KATE SMITH FRED ROBBINS JINX FALKENBERG DANTON WALKER JIMMY POWERS BOB SMITH ELOISE McELHONE JOHN J.
    [Show full text]
  • Virginia Commonwealth University Commencement Program Virginia Commonwealth University
    Virginia Commonwealth University VCU Scholars Compass VCU Commencement Programs VCU University Archives 1974 Virginia Commonwealth University Commencement Program Virginia Commonwealth University Follow this and additional works at: http://scholarscompass.vcu.edu/vcucommence © Virginia Commonwealth University Downloaded from http://scholarscompass.vcu.edu/vcucommence/9 This Program is brought to you for free and open access by the VCU University Archives at VCU Scholars Compass. It has been accepted for inclusion in VCU Commencement Programs by an authorized administrator of VCU Scholars Compass. For more information, please contact [email protected]. COMMENCEMENT PR©GRAM VIRGINIA COMMONWEALTH UNIVERSITY RICHMOND Sixth Annual Commencement 1974 THE COLISEUM May 18, 1974 10:00 A.M. PROGRAM Presiding DR. WARREN W . BRANDT, President Virginia Commonwealth University Processional* Music for the processional and recessional specially recorded by: VCU Symphony Orchestra, Ira Lieberman, Conductor; VCU Chorus, Wayne Batty, Director; VCU Wind Ensemble, John Savage, Conductor; VCU Chamber Orchestra, Ira Lieberman, Conductor; and the University­ Community Chorale, Richard Rivers, Director Invocation Rev. A. P. L. Prest, Jr., Chairman Program of Patient Counseling "America The Beautiful" Samuel Ward, Arr.-R. Thomas, Music Department Mixed Ensemble, Ron Thomas, · Conductor Remarks Dr. Wyndham B. Blanton, Jr., Rector Board of Visitors Commencement Address Honorable Mills E. Godwin, Jr. Governor of Virginia Conferring of Degrees Dr. Warren W. Brandt School of Allied Health Professions .. ... Dr. Thomas C. Barker, Dean School of the Arts . Dr. Herbert J. Burgart, Dean School of Arts and Sciences .. ....................... Dr. Paul D . Minton, Dean School of Basic Sciences and Graduate Studies Dr. Daniel T. Watts, Dean School of Business ............................................................. ......... Dr. J.
    [Show full text]
  • National Press Club Study” of the Ron Nessen Papers at the Gerald R
    The original documents are located in Box 300, folder “National Press Club Study” of the Ron Nessen Papers at the Gerald R. Ford Presidential Library. Copyright Notice The copyright law of the United States (Title 17, United States Code) governs the making of photocopies or other reproductions of copyrighted material. Ron Nessen donated to the United States of America his copyrights in all of his unpublished writings in National Archives collections. Works prepared by U.S. Government employees as part of their official duties are in the public domain. The copyrights to materials written by other individuals or organizations are presumed to remain with them. If you think any of the information displayed in the PDF is subject to a valid copyright claim, please contact the Gerald R. Ford Presidential Library. Digitized from Box 300 of the Ron Nessen Papers at the Gerald R. Ford Presidential Library Questions Asked by National Press Club study Current number of Presidential press conferences, along with a breakdown TAB A of the formats : Do you have records of other post-World No War ll Presidents for comparison? Number of media interviews the President has granted and the number of persons involved. We'd like a breakdown of the· number of interviews from newspapers, TAB B magazines, radio and television and a list . of those people: How many are still on the waiting list? Changes constantly, as requests come in and others are granted. How many people work for the White House Press office and related 36 activities: What is the budget: Incorporated into White House budget- no separate amount How many considered press officers, how many clerical, how many in other TAB C categories? Figures on personnel totals and budgets ,_ in past White House press offices.
    [Show full text]
  • President - Briefing Papers by Ron Nessen (4)” of the Ron Nessen Papers at the Gerald R
    The original documents are located in Box 18, folder “President - Briefing Papers by Ron Nessen (4)” of the Ron Nessen Papers at the Gerald R. Ford Presidential Library. Copyright Notice The copyright law of the United States (Title 17, United States Code) governs the making of photocopies or other reproductions of copyrighted material. Ron Nessen donated to the United States of America his copyrights in all of his unpublished writings in National Archives collections. Works prepared by U.S. Government employees as part of their official duties are in the public domain. The copyrights to materials written by other individuals or organizations are presumed to remain with them. If you think any of the information displayed in the PDF is subject to a valid copyright claim, please contact the Gerald R. Ford Presidential Library. Digitized from Box 18 of the Ron Nessen Papers at the Gerald R. Ford Presidential Library THE WHITE HOUSE: INTERVIEW ·wiTH JOHN CHANCELLOR AND TOM BROKAW FOR NBC FOREIGN POLICY DOCUMENTARY Saturday, January 3, 1976 11:30 am ( 10-15 min) The Library ·) ~ ;~/ From: Ron Nessen ·.. _ 1 : I. PURPOSE To answer questions from Tom Brokaw (in person) and John Chancellor (over a loud speaker from New York) on American foreign policy. II. BACKGROUND, PARTICIPANTS, PRESS PLAN A. Background NBC-TV is broadcasting a three-hour documentary Monday night (January 5) on American foreign policy. The program will include interviews with Secretary of State Kissinger, as well as foreign policy experts in the Senate and House. It vvill deal with a number of specific, current foreign policy issues, and will include some material filmed in foreign countries.
    [Show full text]